This is an excellent example of how to deal with the patient in a holistic manner.....we shouldn't simply prescribe but should think about other issues, lifestyle, shared decision making etc etc. Remember a good doctor treats the disease a great doctor treats the patient with the disease (with apologies to Osler).....

Answer; Holistic approach with education, advice, particularly with reference to dual purposes of diet/diabetes and weight loss if patient obese, as weight loss proven to reduce pain in OA. Also biomechanics assessment may be useful.

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In order to get some prescribing resources out there we intend to publish a series of prescribing problems on the website. The problems will appear at least weekly with the "answers" appearing a couple of days later. We'll use the standard exam stationery available on the LSE, but also available below in case you haven't got access to the LSE.

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